SCOLIOSIS A NURSING OVERVIEW Ann S. Goodson, R.N.,MSN,ONC Nurse Coordinator Pediatric/Orthopedics.

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Presentation transcript:

SCOLIOSIS A NURSING OVERVIEW Ann S. Goodson, R.N.,MSN,ONC Nurse Coordinator Pediatric/Orthopedics

SCOLIOSIS- CLASSIFICATION IDIOPATHIC IDIOPATHIC CONGENTIAL CONGENTIAL NEURO-MUSCULAR NEURO-MUSCULAR MISCELLANEOUS MISCELLANEOUS

NATURAL HISTORY of SCOLIOSIS  Scoliosis is a clinical sign

Tanner Staging

Risser Sign

Curve Patterns of Idiopathic Scoliosis

Idiopathic Scoliosis Risk of Progression

Non Surgical Management Observation Observation Bracing Bracing

SURGICAL TREATMENT

Congenital Scoliosis Vertebral Malformation

KYPHOSIS Congenital Kyphosis Congenital Kyphosis Scheuermann’s Disease Scheuermann’s Disease

TREATMENT Physical Therapy NSAID’sBracingSurgical

POSTURAL KYPHYOSIS “Round back” “Round back” Not Rigid Not Rigid Back ache Back ache Slouching Slouching

TREATMENT P.T. P.T. Exercises- Superman Exercises- Superman Sports Sports

NEUROMUSCULAR Cerebral palsy Cerebral palsy Muscular dystrophy Muscular dystrophy Myelomeningocele Myelomeningocele

MISCELLANEOUS Marfan Syndrome Marfan Syndrome Neurofibromatosis Neurofibromatosis Spine tumors Spine tumors Degenerative scoliosis Degenerative scoliosis

COMPLICATIONS COMPLICATIONS Spinal cord or nerve root injury Spinal cord or nerve root injury Infection Infection Pseudoarthrosis Pseudoarthrosis Crankshaft phenomenon Crankshaft phenomenon Implant failure Implant failure

SUMMARY SUMMARY Scoliosis is a diagnosis of exclusion Scoliosis is a diagnosis of exclusion Progression is related to growth in idiopathic and neuromuscular Progression is related to growth in idiopathic and neuromuscular Early diagnosis for brace treatment in idiopathic scoliosis- this is never a cure! Early diagnosis for brace treatment in idiopathic scoliosis- this is never a cure! Surgery is for large curves in growing children or progressive conditions Surgery is for large curves in growing children or progressive conditions

THANK-YOU !